1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.amjcard.2018.09.039" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.amjcard.2018.09.039</a>
Pages
218-226
Issue
2
Volume
123
ISSN
1879-1913 0002-9149
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<a href="http://neomed.idm.oclc.org/login?url=http://doi.org/10.1016/j.amjcard.2018.09.039" target="_blank" rel="noreferrer noopener">NEOMED Full-text Holding (if available) - Proxy DOI: 10.1016/j.amjcard.2018.09.039</a>
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Update Year & Number
June2020SubmittedList
NEOMED College
NEOMED College of Medicine
NEOMED Department
Department of Internal Medicine
Affiliated Hospital
Cleveland Clinic Akron General Hospital
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Meta-analysis comparing culprit vessel only versus multivessel percutaneous coronary intervention in patients with acute myocardial infarction and cardiogenic shock.
Publisher
An entity responsible for making the resource available
The American journal of cardiology
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-01-15
Subject
The topic of the resource
Humans; Recurrence; Retreatment; Percutaneous Coronary Intervention/methods; Coronary Artery Disease/therapy; Myocardial Infarction/mortality/therapy; Renal Insufficiency/epidemiology; Shock Cardiogenic/mortality
Creator
An entity primarily responsible for making the resource
Khan MS; Siddiqi TJ; Usman MS; Riaz H; Khan AR; Murad MH; Kalra A; Figueredo VM; Bhatt DL
Description
An account of the resource
Cardiogenic shock (CS) after a myocardial infarction continues to be associated with high mortality. Whether percutaneous coronary intervention (PCI) of noninfarct coronary arteries (multivessel intervention [MVI]) improves outcomes in CS after acute myocardial infarction (AMI) remains controversial. MEDLINE, Cochrane CENTRAL, and Scopus databases were searched for original studies comparing MVI with culprit-vessel intervention (CVI) in AMI patients with multivessel disease and CS. Risk ratios (RRs) and 95% confidence intervals were calculated and pooled using a random effects model. Thirteen studies, consisting of 7,906 patients (n(MVI) = 1,937; n(CVI) = 5,969), were included in this meta-analysis. Overall, the MVI and CVI groups did not differ significantly in the risk of short-term mortality (RR: 1.06 [0.91, 1.23]; p = 0.45; I(2) = 75.82%), long-term mortality (RR: 0.93 [0.78, 1.11]; p = 0.37; I(2) = 67.92%), reinfarction (RR: 1.16 [0.75, 1.79]; p = 0.50; I(2) = 0%), revascularization (RR: 0.84 [0.48, 1.47]; p = 0.54; I(2) = 83.01%), bleeding (RR: 1.15 [0.96, 1.38]; p = 0.09, I(2) = 0%), or stroke (RR: 1.29 [0.86, 1.94]; p = 0.80, I(2) = 0%). However, significantly increased risk of renal failure was seen in the MVI group (RR: 1.35 [1.10, 1.66]; p = 0.004; I(2) = 0%). On subgroup analysis, it was seen that results from retrospective studies showed higher short-term mortality in the MVI group in comparison with prospective studies (p = 0.003). The certainty in estimates is low due to the largely observational nature of the evidence. In conclusion, MVI provides no additional reduction in short- or long-term mortality in AMI patients with multivessel disease and CS. Additionally, the risk of renal failure may be higher with the use of MVI.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.amjcard.2018.09.039" target="_blank" rel="noreferrer noopener">10.1016/j.amjcard.2018.09.039</a>
PMID: 30420183
Rights
Information about rights held in and over the resource
Copyright © 2018. Published by Elsevier Inc.
Format
The file format, physical medium, or dimensions of the resource
journalArticle
2019
Bhatt DL
Cleveland Clinic Akron General Hospital
Coronary Artery Disease/therapy
Department of Internal Medicine
Figueredo VM
Humans
journalArticle
June2020SubmittedList
Kalra A
Khan AR
Khan MS
Murad MH
Myocardial Infarction/mortality/therapy
NEOMED College of Medicine
Percutaneous Coronary Intervention/methods
Recurrence
Renal Insufficiency/epidemiology
Retreatment
Riaz H
Shock Cardiogenic/mortality
Siddiqi TJ
The American journal of cardiology
Usman MS